Individual
REESE ELLEN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1334 AGUA FRIA ST, SANTA FE, NM 87501-3576
(505) 699-7885
Mailing address
1000 CORDOVA PL # 804, SANTA FE, NM 87505-1725
(505) 699-7885
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0089091
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0089091
LPCC
NM
Enumeration date
02/28/2018
Last updated
06/16/2018
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